Provider Demographics
NPI:1013974609
Name:PIERSON, STEVEN BRUCE (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:BRUCE
Last Name:PIERSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:708 N SHADY RETREAT RD STE 8
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2503
Mailing Address - Country:US
Mailing Address - Phone:215-489-1077
Mailing Address - Fax:215-489-1078
Practice Address - Street 1:708 N SHADY RETREAT RD STE 8
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2503
Practice Address - Country:US
Practice Address - Phone:215-489-1077
Practice Address - Fax:215-489-1078
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD028476E208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0009264450007Medicaid
PA0009264450007Medicaid
PAB36376Medicare UPIN